PT  - JOURNAL ARTICLE
AU  - Haney, Victoria
AU  - Maman, Stephan
AU  - Prozesky, Jansie
AU  - Bezinover, Dmitri
AU  - Karamchandani, Kunal
TI  - Improving intraoperative administration of surgical antimicrobial prophylaxis: a quality improvement report
AID  - 10.1136/bmjoq-2020-001042
DP  - 2020 Sep 01
TA  - BMJ Open Quality
PG  - e001042
VI  - 9
IP  - 3
4099  - http://bmjopenquality.bmj.com/content/9/3/e001042.short
4100  - http://bmjopenquality.bmj.com/content/9/3/e001042.full
SO  - BMJ Open Qual2020 Sep 01; 9
AB  - Despite widespread adoption of the Surgical Care Improvement Programme, the incidence of surgical site infections (SSIs) remains high. It is possible that lapses in appropriate administration of antimicrobial prophylaxis may play a role. We noted significant discordance with national guidelines with regards to intraoperative antibiotic administration at our institution, leading to implementation of a quality improvement initiative using multidisciplinary education and reminder-based interventions to improve prescribing practices and increase compliance with national guidelines. We observed a significant improvement in adherence to all aspects of antibiotic administration guidelines as a result of such interventions. Targeted multidisciplinary interventions may help improve prescribing practices of surgical antimicrobial prophylaxis and provide an opportunity to potentially decrease the burden of SSI and the related morbidity and mortality.